Organization Active NPI

Stay Fit PT

  • Physical Therapy Clinic/Center
  • Highland Park, IL
National Provider Identifier
1427855972
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STAY FIT PT
Practice address
1500 Old Deerfield Rd Ste 7
Highland Park, IL 60035-3067
Phone
(847) 502-0784
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jamie Lens, PHYSICAL THERAPISTNPI 1316166812
Title
Owner
Phone
(847) 502-0784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1500 Old Deerfield Rd Ste 7
Highland Park, IL 60035-3067

Mailing address

126 High St
Highwood, IL 60040-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250616000929 IL Part B Supplier - Clinic/Group Practice 0042721235 Receives reassigned benefits from 1 practitioner
Practice locations: Highland Park, IL

National Provider Directory

National Provider Directory

Locations

1500 Old Deerfield Rd
Ste 7
Highland Park, IL 60035
Phone (847) 502-0784

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1427855972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HIGH ST",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OLD DEERFIELD RD STE 7",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353067",
            "telephone_number": "847-502-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY FIT PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "LENS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-502-0784",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.